of Louisianians last summer weren't large destructive hurricanes. Some residents were threatened by a deadly microscopic organism in water systems that served their homes. Called Naegleria fowleri, this brain- eating ameba posed a risk to people who relied on at least two public water systems. encephalitis, which tests confirmed was caused by the Naegleria fowleri ameba. The child contracted the amoeba after playing on a Slip `n Slide in St. Bernard Parish, a New Orleans suburb, when water from the slide went up the child's nose. A Louisiana Department of Health and Hospitals' (DHH) epidemiological investigation and extensive testing by the CDC determined the cause of death and, in September, confirmed the presence of the Naegleria fowleri ameba in the St. Bernard Parish water system. earlier, a St. Bernard Parish resident and a DeSoto Parish resident both died from infections caused by the ameba after cleansing their sinuses with neti pots. Available tests on the respective water systems, in 2011, did not detect the amoeba. Following the 2013 death, and with more sophisticated testing systems available, Louisiana conducted further testing of the parish water system in St. Bernard, confirming that the ameba was present. Out of an abundance of caution, the state performed the same test at the site of the other 2011 death and also confirmed the presence of the ameba in the DeSoto Parish Waterworks District No. 1 water system. Never before had this ameba been found in treated water systems in this country. There was little to no chlorine residual in the water systems where the ameba was found. State and federal laws require a "trace" or "detectable" level of chlorine. A level of 0.5 mg/L is known to control the ameba. commissioner. "The three who died didn't go swimming in bayous, rivers or lakes, where you typically come in contact with the ameba. The CDC told us they only do the ameba test where they identify a case. Louisiana's was a unique situation, in that it came from a treated drinking water system." it was present in two water systems, proved to be a unique communications challenge for DHH. Anyone who drank, bathed, showered or swam in water from the affected water systems in the two parishes was at risk -- but only if they got the water up their noses. There is no rhyme or reason as to why the ameba would make one person ill and not the other, which caused fear in many residents who found it difficult to understand how the water was safe to drink, but not to get in their noses. communications staff and experts to craft simple, timely, accurate and relevant messages, which were used consistently with members of the media, on social media pages, with local |